BRIAN PATRICK MCCULLOUGH LPCC
NPI 1417244716
Counselor - Professional in Minneapolis, MN

Q: What is the provider's specialty?

The provider's specialty is Counselor with taxonomy code 101YP2500X and a focus in Professional.

Active since July 07, 2011PECOS Enrolled

1801 NICOLLET AVE, MINNEAPOLIS, MN 55403(612) 596-9438(612) 879-3824 Get Directions Write a Review

NPPES record last updated: April 12, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Brian Patrick Mccullough Lpcc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRIAN PATRICK MCCULLOUGH LPCC (NPI 1417244716) is an individual professional provider in Minneapolis, Minnesota, licensed in Minnesota (310) and active in the NPI registry since July 2011. He is enrolled in Medicare PECOS and maintains a secondary practice location in Saint Paul.

NPPES Registry Identity

NPI1417244716

Entity TypeIndividualMale

Primary Taxonomy101YP2500X

Provider Legal NameBRIAN PATRICK MCCULLOUGHCredential: LPCC

Location Address1801 NICOLLET AVEMinneapolis, MN 55403-3791

Mailing Address1801 Nicollet AveMinneapolis, MN 55403-3791 · (612) 596-9438 · Fax (612) 879-3824

Phone(612) 596-9438

Fax(612) 879-3824

Sole ProprietorYes

Enumeration DateJuly 7, 2011

Last NPPES UpdateApril 12, 2019

✔ NPI 1417244716 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in MN · 310

1801 NICOLLET AVE, Minneapolis, MN 55403

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Secondary Practice Location 1

Location 11900 Silver Lake Rd NWSaint Paul, MN 55112-1786 · Phone (651) 379-1718 · Fax (651) 628-0411

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Brian Patrick Mccullough Lpcc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.